ASHLEY R BLACK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209015210

License Status

ACTIVE

Business

First Name

ASHLEY

Middle

Last Name

BLACK

Business Name

ASHLEY R BLACK

Original Issue Date

11/30/2016

Effective Date

04/26/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

03/02/2026